IndividualActive
Chalermlarp Mongkolsmai, M.D.
NPI 1194009415 · Pediatric Cardiology Physician · Bloomington, IL
Provider details
- NPI number
- 1194009415
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 036059805 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2206 Berrywood Ln
Bloomington, IL 61704-2448
Phone: (309) 662-2032
Approximate (ZIP-level) locationGet directions
Mailing address
2206 Berrywood Ln
Bloomington, IL 61704-2448
Registry dates
- Enumerated
- 2011-10-05
- Last updated
- 2011-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.